Apnea caused by retrobulbar anesthesia: A case report  

作　　者：Yue-Lin Wang Guo-Ru Lan Xuan Zou Er-Qian Wang Rong-Ping Dai You-Xin Chen 

机构地区：[1]Department of Ophthalmology,Peking Union Medical College Hospital,Beijing 100730,China

出　　处：《World Journal of Clinical Cases》2022年第31期11646-11651,共6页世界临床病例杂志

摘　　要：BACKGROUND Apnea caused by retrobulbar anesthesia is a very rare but severe complication during ophthalmic surgery.CASE SUMMARY We report a rare case of apnea caused by retrobulbar anesthesia,and emergency resuscitation was used.A 74-year-old female patient was diagnosed with rhegmatogenous retinal detachment in the right eye and planned to undergo vitrectomy under retrobulbar anesthesia.After the retrobulbar anesthesia in her right eye,she became unconscious and apneic.It was suggested that she had developed brainstem anesthesia.Assisted ventilation was initiated.Atropine 0.5 mg,epinephrine 1 mg,ephedrine 30 mg,and lipid emulsion were given.Five minutes later,her consciousness and breathing gradually returned,but with uncertain light perception in her right eye.Alprostadil 20μg was given,and after 2 h her visual acuity resumed to the preoperative level.CONCLUSION Brainstem anesthesia is a serious complication secondary to retrobulbar anesthesia.Medical staff should pay attention to the identification of brainstem anesthesia and be familiar with the emergency treatment for this complication.

关 键 词：APNEA Retrobulbar anesthesia Brainstem anesthesia Ophthalmic surgery Case report 

分 类 号：R779.6[医药卫生—眼科]